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CDE Detailed Report
This report contains detailed information about the selected CDEs.
Note: If at least one CDE was selected from a copyright- or trademark-protected instrument/scale then all of the CDEs from that instrument/scale are included in this report.
Disease: Cerebral Palsy
Sub-Domain: General Health History
CRF: Motor Development History
Item count: 13 (13 distinct CDEs)
CDE ID
CDE Name
Variable Name
Definition / Description
Question Text
Permissible Value
Description
Data Type
Instructions
References
Population
Classification (e.g., Core)
Version #
Version Date
Aliases for Variable Name
CRF Module / Guideline
© or TM
Sub-Domain
Domain
Previous Title
Size
Input Restrictions
Min Value
Max Value
Measurement Type
LOINC ID
SNOMED
caDSR ID
CDISC ID
C17402
Site name
SiteName
The name of the site for the study
Site name
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Core
3.0
6/21/2013
Aliases for variable name not defined
Motor Development History
General Health History
Participant History and Family History
Site name
255
Free-Form Entry
       
C19247
Subject ID
SubIDNam
Subject identification ID
Subject ID
  
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Core
1.0
6/5/2014
Aliases for variable name not defined
Motor Development History
General Health History
Participant History and Family History
 
255
Free-Form Entry
       
C22884
Person obtained report type
ReportObtByTyp
The type indicating who the report was obtained by
Report obtained by
Other, specify;Self;Parent;Physician;Record Review;
;Self;Parent;Physician;Record Review;
Alphanumeric
No instructions available
CF Dosman, D Andrews, KJ Goulden: Evidence-based milestone ages as a framework for developmental surveillance. Pediatr Child Health 2012;17(10):561–568.
Sheldrick RC and Perrin EC: Evidence-Based Milestones for Surveillance of Cognitive, Language, and Motor Development. Academic Pediatrics 2013;13:577
Adult;Pediatric
Supplemental
1.0
12/5/2016
Aliases for variable name not defined
Motor Development History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C10615
Clinical event or milestone type
ClinEvntMilestoneTyp
Type of clinical event or milestone pertinent to the disease or disorder
Milestone
Attend a day care group (with > 5 other children);Climb stairs;Crawl- combat style;Crawl- four point;Cruise along furniture;Death;Have a cognitive/learning disability;Head control;Loss of ambulation;Loss of speech;Maintain seated position supported;Maintain seated position unsupported;Noninvasive ventilation (NIV) utilized;Percutaneous endoscopic gastrostomy (PEG)/feeding tube placement;Raise both arms above head simultaneously;Reaches for object;Roll both ways;Roll completely;Self feeds;Speak his/her first words by 12 months;Speak in complete sentences by 3 years;Speak in two word combinations by 2 years;Stand with support;Stand without support;Tracheostomy performed;Uses spoon;Walk alone (without assistive device);Walk by 17 months old;Walk independently (without braces);Walk with hand held or assistive device;Walk with support (hand, braces);
Attend a day care group (with > 5 other children);Climb stairs;Crawl- combat style;Crawl- four point;Cruise along furniture;Death;Have a cognitive/learning disability;Head control;Loss of ambulation;Loss of speech;Maintain seated position supported;Maintain seated position unsupported;Noninvasive ventilation (NIV) utilized;Percutaneous endoscopic gastrostomy (PEG)/feeding tube placement;Raise both arms above head simultaneously;Reaches for object;Roll both ways;Roll completely;Self feeds;Speak his/her first words by 12 months;Speak in complete sentences by 3 years;Speak in two word combinations by 2 years;Stand with support;Stand without support;Tracheostomy performed;Uses spoon;Walk alone (without assistive device);Walk by 17 months old;Walk independently (without braces);Walk with hand held or assistive device;Walk with support (hand, braces);
Alphanumeric
No instructions available
CF Dosman, D Andrews, KJ Goulden: Evidence-based milestone ages as a framework for developmental surveillance. Pediatr Child Health 2012; 17(10):561–568.
Sheldrick RC and Perrin EC: Evidence-Based Milestones for Surveillance of Cognitive, Language, and Motor Development. Academic Pediatrics 2013;13:577.
Adult;Pediatric
Core
3.0
7/25/2013
Aliases for variable name not defined
Motor Development History
General Health History
Participant History and Family History
Clinical event or milestone type
 
Single Pre-Defined Value Selected
       
C10616
Clinical event or milestone achieved indicator
ClinEvntMilestoneAchvInd
Indicator whether the participant/subject achieved or experienced the specific clinical event or milestone pertinent to the disease or disorder
Achieved?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
CF Dosman, D Andrews, KJ Goulden: Evidence-based milestone ages as a framework for developmental surveillance. Pediatr Child Health 2012; 17(10):561–568.
Sheldrick RC and Perrin EC: Evidence-Based Milestones for Surveillance of Cognitive, Language, and Motor Development. Academic Pediatrics 2013;13:577
Adult;Pediatric
Core
3.0
7/25/2013
Aliases for variable name not defined
Motor Development History
General Health History
Participant History and Family History
Clinical event or milestone achieved indicator
 
Single Pre-Defined Value Selected
       
C12658
Clinical event or milestone achieved age value
ClinEvntMilstnAchvAgeVal
Age when the participant/subject achieved the clinical event or milestone
Age Achieved (in months)
  
Numeric Values
No instructions available
CF Dosman, D Andrews, KJ Goulden: Evidence-based milestone ages as a framework for developmental surveillance. Pediatr Child Health 2012; 17(10):561–568.
Sheldrick RC and Perrin EC: Evidence-Based Milestones for Surveillance of Cognitive, Language, and Motor Development. Academic Pediatrics 2013;13:577.
Adult;Pediatric
Core
3.0
7/25/2013
Aliases for variable name not defined
Motor Development History
General Health History
Participant History and Family History
Clinical event or milestone achieved age value
 
Free-Form Entry
       
C12665
Certainty of response type
CertainResponsTyp
Certainty of recollection of the response or information
Certainty of Response
Certain/Definite;Best recollection;Unknown/Uncertain;
Certain/Definite;Best recollection;Unknown/Uncertain;
Alphanumeric
No instructions available
CF Dosman, D Andrews, KJ Goulden: Evidence-based milestone ages as a framework for developmental surveillance. Pediatr Child Health 2012; 17(10):561–568.
Sheldrick RC and Perrin EC: Evidence-Based Milestones for Surveillance of Cognitive, Language, and Motor Development. Academic Pediatrics 2013;13:577.
Adult;Pediatric
Supplemental
3.0
7/25/2013
Aliases for variable name not defined
Motor Development History
General Health History
Participant History and Family History
Certainty of response type
 
Single Pre-Defined Value Selected
       
C17493
Attention deficit disorder attention deficit hyperactivity disorder indicator
AttentionDeficitADHDInd
Indicator as to whether the participant/subject has or had attention deficit disorder (ADD) or attention deficit hyperactivity disorder (ADHD)
Does/did the participant/subject have Attention Deficit Hyperactivity Disorder (ADHD) or Attention Deficit Disorder (ADD)?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/15/2013
Aliases for variable name not defined
Motor Development History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C22886
Delay acquisition language communication milestone indicator
DelAcqLanCommMilInd
The indicator related to the subject having delayed acquisition of language or communication milestones, diagnosed be a physician.
Does/did the participant/subject have delayed acquisition of language/communication milestones, diagnosed by a physician?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
1.0
12/5/2016
Aliases for variable name not defined
Motor Development History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C17494
Delay language cognitive milestone indicator
DelayLangCogMilestoneInd
Indicator as to whether the participant/subject has or had delayed acquisition of language or cognitive milestones, as diagnosed by a pediatrician or neurologist
Does/did the participant/subject have delayed acquisition of cognitive milestones, diagnosed by a physician?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/15/2013
Aliases for variable name not defined
Motor Development History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C17496
Delay social function indicator
DelaySocialFunctionInd
Indicator as to whether the participant/subject has or had delayed social function
Does/did the participant/subject have social delay?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/15/2013
Aliases for variable name not defined
Motor Development History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C17498
Hand preference before 12 month age indicator
HandPrefBefore12MoAgeInd
Indicator as to whether the participant/subject had a hand preference before 12 months of age
Does/did the participant/subject have hand preference before 12 months of age?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/15/2013
Aliases for variable name not defined
Motor Development History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
C17497
Gait abnormal when began walking indicator
GaitAbnrmlWhenBeganWalkInd
Indicator as to whether the participant/subject had a gait abnormality at the time they began walking, as noted by parents or a physician
Does/did the participant/subject have abnormality of the gait noted by parents or a physician at the time the child began walking?
Yes;No;Unknown;
Yes;No;Unknown;
Alphanumeric
No instructions available
No references available
Adult;Pediatric
Supplemental
3.0
7/15/2013
Aliases for variable name not defined
Motor Development History
General Health History
Participant History and Family History
  
Single Pre-Defined Value Selected
       
07-20-2019
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